Request For Information Form
Will services be provided by an individual or a business?
Individual
Business
Legal Name if Individual
OR Business Name
Address
Name of authorized signatory
Email address of authorized signatory
Phone Number
Beginning date for service?
Ending date for services?
Is Vendor/Consultant an employee of the State of South Dakota?
Yes
No
What is Vendor/Consultant's independent trade or occupation?
Will Vendor/Consultant use BHSU equipment? If so, please list all BHSU equipment, supplies, or facilities to be used.
Please provide a detailed description of the work to be done.
What is the maximum amount you expect to pay?
NOTE: Please include travel expenses in the maximum amount.
Rate
Maximum Amount
What fund (account) number(s) do you plan to use?
Submitted By:
Contact Information